“THERE has been an enormous overproduction of uneducated and ill-trained medical practitioners … due to the existence of a very large number of commercial (medical) schools … which are profitable business.”
Does the above refer to Pakistan? It doesn’t but it could as it is an apt description of the conditions prevailing in the country. The words above are from Abraham Flexner’s 1910 report on the state of medical education in North America. It led to the closing down of 124 of the 155 medical schools operating in the US and Canada at the time. Continue reading “Where the ill lies”
THE existential threat that Pakistan faces today is the insidious devastation of our human resources. It is a silent crisis, yet to be recognised, as an entire generation of children faces a slow death by malnutrition.
Denied basic nutrients — especially protein — essential for their physical and cognitive growth in the critical first 1,000 days of life, the majority of children never enjoy the same health and mental growth as that of a normal well-fed child. Paediatricians tell us that the damage done during this window of life — from conception till the second birthday — cannot be reversed. We have been warned, but nothing stirs us out of our complacency. Continue reading “The magic crop”
TODAY I am writing this while waiting for my turn for physiotherapy for my right hand carpal tunnel syndrome. I had been having severe pain that became worst on twisting movements and pulling or bearing weight on this hand. First I took a painkiller regularly without any benefit then kept on complaining about pain and was scolded by my mother and elder sister to consult a doctor and not to treat myself. I got all my lab investigations done which came out to be normal ( CP, ESR, CRP, uric acid, RA factor and T3, T4, TSH and the x-ray of my wrist). I was convinced that it was carpal tunnel syndrome as I previously got a persistent parasthesia on my right hand so I got an appointment with my teacher, Professor of neurology, Dr. Abdullah, who endorsed my diagnosis and sent me to this amazing physiotherapy Center named “Neurology & Falij care Center”! He advised me to get my physiotherapy done by the specific lady physiotherapist. So it’s my third session today and I do the exercises advised by her regularly at home multiple times. I hope and pray that improvement will come soon. Continue reading “Physician let a colleague treat you”
IN a society as morally perverse and corrupt as ours, does a centre of ethics have any relevance? A cynic’s answer would be a resounding ‘none whatsoever’. The idealist/reformer would say, ‘all the more’. That is a dilemma that faces all activists in this country seeking to light the spark of change.
In this context, the SIUT’s Centre for Biomedical Ethics and Culture (CBEC) faces a daunting challenge. It has been struggling for the last 13 years to introduce an ethical perspective not just in healthcare but also in the non-medical sector. Its endeavours became meaningful and received international recognition when last week WHO declared the CBEC a Collaborating Centre for Bioethics — one of the eight to receive that prestigious status worldwide. Continue reading “Right vs wrong”
IN August, Pakistan will be celebrating the 70th anniversary of its independence. This has understandably spawned a spate of soul searching. It was in abundance at the Karachi Literature Festival. The session titled “Pakistan: a fragile state or resilient nation” focused entirely on the state and didn’t address the issue of resilience at all. The state was held responsible for all the evils that have befallen us.
Unsurprisingly, the speakers concentrated on identifying the villain of the piece that was said to be the ‘state’ — an abstract term. As the discussion proceeded, the state became the “invisible state” and then the “deep state”. The audience clearly understood that these terms referred to the army which has played a central role in determining Pakistan’s destiny. Continue reading “Blame rests on ….”
Why is the SIUT a success story when other health institutions in the public sector in Pakistan have failed? This question is frequently asked by people who are wonderstruck by the SIUT’s performance. Few can believe that this immaculate hospital that sprawls before them is in the public sector. It has taken it 40 years to reach its present greatness. And it is still growing.
The only feature that betrays its ownership is the over-crowding you see there. Being in the public sector, this tertiary healthcare institution attracts all and sundry. Moreover it is a hospital that is affordable and actually works, where people are treated and recover from their illness. Continue reading “The secret of success”
IN these times of despair, even the dead can give us hope and inspiration. That is the powerful message that emerged from the Orangi Pilot Project-Research and Training Institute’s forum on Jan 22. It was organised to commemorate the birthday of Perween Rahman who was shot fatally in March 2013.
Why was Perween killed? It might sound bizarre but the fact is that there are vested interests in our society who feel threatened by people who work for the poor. That was confirmed by SP Akhtar Farooqi who said on the occasion that the murder was not motivated by personal enmity but by economic factors. Continue reading “Message of hope?”
A FRIEND sent me his greetings on New Year with this verse: “Apnay haathon say dastar sumbhaloon kaisay/ Donon haathon mein kashkol pakar rakha hai.” (How should I hold up my turban when I hold the begging bowl with both my hands?)
The truth of this verse hit me when a news item in this paper reported the proceedings of the Senate recently. The government had come under fire from a PTI member for piling up external and domestic debts to such proportions that servicing them was becoming impossible.
One should not dismiss this as political gimmickry to embarrass the ruling party. After all, which party in Pakistan has even attempted to be self-reliant by adopting austerity as a policy to reduce the government’s dependency on loans? With few parties remaining in office for too long, every ruler spends money with abandon knowing that the chickens will come home to roost when he will not be around to cope with the problem. Continue reading “Loss of dignity”
Abbottabad. The name sounds romantic. But romantic it is no more. The small hill station, named after its first district administrator, is not even a shadow of its former glory. Sir James Abbott had been so greatly enamoured by the pristine beauty of his place of posting and temporary abode that he wrote an emotional poem in its praise. Continue reading “A hill station in decay”
TWO seemingly insignificant events could amount to the writing on the wall for our municipal administrators all over the country. It is plain, the public will no longer turn a blind eye to poor sanitation. People are now beginning to understand the implications of environmental pollution.
Recently, the inhabitants of a village in Fatehjang tehsil (Punjab) protested against the garbage dump which the district municipality had created near their homes. Some of them actually travelled to Islamabad to meet the director of the National Commission of Human Rights to lodge their complaint. They were not happy with the odour that pervaded their homes. Even more encouraging was the fact that the inhabitants of neighbouring villages refused to allow the DMO to pile garbage near their homes when he tried to shift the dumping site. Continue reading “No trashy issue”